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eValuating the Efficacy and Safety of InitiatinG depemokImab earLy therApy iN Chronic Obstructive Pulmonary Disorder (COPD) With Type 2 Inflammation (VIGILANT)

A Multicenter, Randomized, Double-blind, Parallel Group, Placebo-controlled Study of the Efficacy and Safety of Early Depemokimab Initiation as add-on Treatment in COPD Patients With Type 2 Inflammation - VIGILANT

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCT2031250639
Enrollment
74
Registered
2026-01-13
Start date
2026-02-20
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic Obstructive Pulmonary Disease

Interventions

Depemokimab 100 mg or placebo will be administered subcutaneously once every 26 weeks, for up to 6 doses.

Sponsors

Fujii Masaki
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Male or eligible female participants 2. Eosinophilic phenotype measured using Blood Eosinophil Count (BEC) 3. Moderate to severe COPD, defined as - A clinically documented history of COPD for at least 1 year - A post-salbutamol Forced expiratory volume in one second (FEV1)/Forced vital capacity (FVC) ratio of less than ()30 percent (%) and = 2 - COPD Assessment Test (CAT) >= 15 - Post-bronchodilator FEV1 =10 pack-years at Screening. 6. Dual (Inhaled corticosteroid (ICS)+ Long-acting beta2-adrenergic receptor agonist [LABA] or LABA+ Long-acting muscarinic receptor antagonist [LAMA]) or triple (ICS+LABA+LAMA) inhaler therapy as assessed by the investigator for at least 3 months 7. Body mass index (BMI) >=16 kilograms per square meter (kg/m^2)

Exclusion criteria

Exclusion criteria: 1. The Investigator must judge that COPD is the primary diagnosis accounting for the clinical manifestations of lung disease, and clinical manifestations of lung disease where primary diagnosis is not COPD are excluded - Participants with a current or prior physician diagnosis of asthma - Participants with childhood asthma are permitted, provided that childhood asthma has resolved before 18 years of age and has not recurred 2. COPD severity: Participants with more than one moderate exacerbation or severe exacerbation in the past 12 months prior to Visit 1 3. COPD stability: Participants with pneumonia, COPD exacerbation, or lower respiratory tract infection within the 4 weeks prior to Visit 1 4. Lung resection: Participants with a history of, or plan for lung volume reduction surgery/endobronchial valve procedure 5. Pulmonary rehabilitation: Participants in the acute phase of a pulmonary rehabilitation program within 4 weeks prior to Visit 1 6. Chronic hypercapnia requiring non-invasive positive pressure ventilation (NIPPV) use including Bi-Level Positive Airway Pressure (BiPAP) or Continuous Positive Airway Pressure (CPAP) are excluded 7. Continuous oxygen: Participants requiring oxygen supplementation for COPD

Design outcomes

Primary

MeasureTime frame
Annualized rate of moderate/severe exacerbations.

Secondary

MeasureTime frame
Time to first moderate/severe exacerbation Change from baseline in St. George's respiratory questionnaire (SGRQ) total score (assessed using the SGRQ-C) at Week 52 Change from baseline in Evaluating Respiratory Symptoms in COPD (E-RS: COPD) total score at Week 52

Countries

Argentina, Australia, Belgium, Brazil, Bulgaria, Canada, Chile, China, Colombia, Denmark, France, Germany, Greece, Hungary, Israel, Italy, Japan, Korea, Mexico, Netherlands, New Zealand, Philippines, Poland, Romania, South Africa, Spain, Taiwan, United Kingdom, United States

Contacts

Public ContactMasaki Fujii

PPD-SNBL K.K.

masaki.fujii@thermofisher.com+81-80-6844-3948

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026